| NPI | 1871792291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC36548) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT2979) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2023-03-06 |