| NPI | 1710386628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149345) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT149345) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2025-05-16 |