| NPI | 1003245358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98902) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFTI 72649) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFTI 72649) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2020-06-08 |