| NPI | 1508178211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT14058) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT86185) | |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT125090) | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT125090) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2023-11-07 |