| NPI | 1104256908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84745) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GU IMF-107) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2024-01-22 |