| NPI | 1639517790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97532) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF75956) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF75956) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-03-01 |