| NPI | 1164041430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125853) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA AMFT115385) |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFT125853) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-09-19 |