| NPI | 1497284418 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116465) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97384) | 
| Enumeration Date | 2017-06-05 | 
| Last Update Date | 2019-12-02 |