| NPI | 1164799136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT147579) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2024-07-03 |