| NPI | 1962709535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139190) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT Intern # 64702) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2024-05-17 |