| NPI | 1528238565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT24455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC24455) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2017-05-05 |