| NPI | 1790232320 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111909) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94973) | 
| Enumeration Date | 2016-09-01 | 
| Last Update Date | 2023-12-29 |