| NPI | 1972992378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95934) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95934) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-04-10 |