| NPI | 1457691008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118401) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF74022) |
| 101YM0800X Counselor Mental Health (Licence: CA AMFT110973) | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT110973) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF74022) | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2020-12-16 |