| NPI | 1407217623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT159589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT159589) |
| 101Y00000X Counselor (Licence: CA LMFT159589) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2025-11-18 |