| NPI | 1164806006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT87092) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-07-21 |