| NPI | 1952756785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102286) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 70003) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-11-07 |