| NPI | 1912352352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104514) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IMF91844) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-01-24 |