| NPI | 1265558761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT22099) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-04-07 |