| NPI | 1447696901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT83601) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 64036) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2014-11-19 |