| NPI | 1043560840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LMFT129581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA AMFT104183) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-06-23 |