| NPI | 1740886555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT149950) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122408) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-09-30 |