| NPI | 1619565496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126451) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117604) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2022-08-09 |