| NPI | 1902106370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84787) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: Intern #63600) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2022-03-03 |