| NPI | 1740608900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT96739) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF78104) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2019-01-18 |