| NPI | 1881684645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT6491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT24676) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2022-04-18 |