| NPI | 1649750803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT120156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC10532) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT105911) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-12-16 |