| NPI | 1639485766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT131536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118610) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT118610) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2022-09-15 |