| NPI | 1770004582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102380) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-04-17 |