| NPI | 1366986572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LMFT107818) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107818) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2019-01-29 |