| NPI | 1508398769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT108607) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI91982) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-01-09 |