| NPI | 1770988818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131111) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90525) |
| 106H00000X Marriage & Family Therapist (Licence: CA 90525) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2022-11-18 |