| NPI | 1144773359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122512) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT93529) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-10-26 |