| NPI | 1386125664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT129585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107579) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-08-28 |