| NPI | 1114215050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT86822) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT86822) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2024-04-08 |