| NPI | 1598154783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104427) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 106H00000X Marriage & Family Therapist (Licence: CA 81699) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 104427) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2020-10-14 |