| NPI | 1619225554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT90464) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75926) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2018-09-11 |