| NPI | 1568648285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50848) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT11548) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2023-12-26 |