| NPI | 1790115616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110963) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89295) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2019-02-12 |