| NPI | 1790105419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114563) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114563) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-01-14 |