| NPI | 1821123134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT79107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC79107) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-01-19 |