| NPI | 1982159075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT117108) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF94395) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2020-09-24 |