| NPI | 1205285533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMFT81419) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT81419) | |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT119733) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-10-07 |