| NPI | 1457874182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT93901) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMG93901) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2021-04-11 |