| NPI | 1790928299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47084) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15418) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2022-08-15 |