| NPI | 1134697212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT108785) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA AMFT108785) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT108785) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-01-03 |