| NPI | 1821313552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115754) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF62749) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF92248) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-10-18 |