| NPI | 1508102146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT109951) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2022-07-21 |