| NPI | 1568630242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF55869) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2010-12-22 |