| NPI | 1457800096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LMFT128732) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100137) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2023-10-27 |