| NPI | 1821485947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124838) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI #85566) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2021-03-15 |