| NPI | 1902120876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 515) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51235) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2023-03-22 |