| NPI | 1518248905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF65263) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2024-05-08 |