| NPI | 1194147884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129360) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF67477) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2022-03-17 |