| NPI | 1558803338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT91463) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2018-10-30 |