| NPI | 1811493604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT110951) |
| 101YM0800X Counselor, Mental Health (Licence: CA 628544) | |
| 163W00000X Registered Nurse (Licence: CA 628544) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-03-28 |