| NPI | 1558632182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC760) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF55005) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT95018) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2017-03-22 |