| NPI | 1770964207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT94413) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-03-09 |