| NPI | 1487139390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT109272) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT109272) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-06-11 |