| NPI | 1720469208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96599) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78503) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-01-19 |