| NPI | 1104122704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT88926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT88926) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2021-01-13 |