| NPI | 1609376847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT116140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF104126) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-12-03 |