| NPI | 1205185964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTI98036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Mfti53357) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2021-07-22 |