| NPI | 1033621768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121955) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT99619) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-09-29 |