| NPI | 1275978496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121119) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LMFT121119) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFT121119) | |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF66890) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-10-12 |