| NPI | 1194134643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT # 83811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCI #144) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-08-13 |