| NPI | 1790164432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111718) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT93779) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-02-19 |