| NPI | 1376096255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130114) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104086) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT104086) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-10-16 |