| NPI | 1790959104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99413) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68662) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-06-02 |