| NPI | 1649645755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114107) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-05-25 |