| NPI | 1659765402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122384) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114182) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF75427) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-10-09 |