| NPI | 1790152718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF94786) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-12-04 |