| NPI | 1790261758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130240) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107726) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-05-03 |