| NPI | 1184963456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 69379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LMFT89210) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2021-12-29 |