| NPI | 1235415480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96407) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79344) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2016-12-05 |