| NPI | 1154848000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT94876) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT94876) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-03-04 |