| NPI | 1568694966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 79102) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 65537) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2021-12-13 |