| NPI | 1750852877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT128178) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT89696) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-10-13 |