| NPI | 1538755574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120404) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 8419) |
| 106H00000X Marriage & Family Therapist (Licence: CA 120404) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2022-10-13 |