| NPI | 1699971242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT 122) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: HI MFT 122) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 13056) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2016-02-24 |