| NPI | 1740562792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84464) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67346) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2015-03-31 |