| NPI | 1750797510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111631) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77965) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2019-07-09 |