| NPI | 1154871234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111267) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94956) |
| 101YM0800X Counselor, Mental Health (Licence: CA 94956) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-07-01 |