| NPI | 1023424108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 96850) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 79361) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 79361) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-01-03 |