| NPI | 1821455809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110179) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88362) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-08-05 |