| NPI | 1891126264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91195) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68963) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-01-26 |