| NPI | 1295959096 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT46673)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF29562)  | 
| Enumeration Date | 2007-04-12 | 
| Last Update Date | 2023-10-17 |