| NPI | 1710174032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT79295) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53718) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-08-11 |