| NPI | 1568862290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT143024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114032) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2023-11-28 |