| NPI | 1699145755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107929) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC5195) |
| 101Y00000X Counselor (Licence: CA AMFT107929) | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2023-03-22 |