| NPI | 1679962443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT115223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83737) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF8373719250) | |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2023-02-02 |