| NPI | 1639580525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133659) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83409) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-08-10 |