| NPI | 1760786651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111249) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-12-13 |