| NPI | 1629348404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104747) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF72628) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2023-06-26 |