| NPI | 1972928810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96874) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70909) |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2021-06-07 |