| NPI | 1538628987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC8852) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2021-02-09 |