| NPI | 1063633626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT52468) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT52468) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-05-11 |