| NPI | 1487079679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77346) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF77346) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2021-11-11 |