| NPI | 1790800795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127148) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF37768) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-03-14 |