| NPI | 1336453497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT78654) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 59483) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2014-01-31 |