| NPI | 1205287968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126502) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CA 104235) | |
| 101Y00000X Counselor (Licence: CA 4742) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-05-08 |