| NPI | 1164864294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT89060) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC1900X Psychologist Counseling (Licence: CA LMFT89060) | |
| 106H00000X Marriage & Family Therapist | |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15560) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-09-07 |