| NPI | 1619234184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC5395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2765) |
| 106H00000X Marriage & Family Therapist (Licence: NH 307) | |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134202) | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT98850) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-01-11 |