| NPI | 1538439963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95522) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA MFTi #76115) | |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2018-07-09 |