| NPI | 1619510500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113823) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-11-01 |