| NPI | 1962842385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114844) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 61670) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2021-05-27 |