| NPI | 1972632495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49894) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT49894) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-02-12 |