| NPI | 1053760561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT130811) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF93854) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-02-08 |