| NPI | 1396880001 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87028)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 71422)  | |
| Enumeration Date | 2007-02-20 | 
| Last Update Date | 2022-10-26 |