| NPI | 1619434156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114565) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT95588) |
| 101YM0800X Counselor Mental Health (Licence: CA LMFT114565) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2024-06-04 |