| NPI | 1952710394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89803) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT89803) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-05-28 |