| NPI | 1487074555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118376) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF100988) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-03-23 |