| NPI | 1770177792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123689) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-11-14 |