| NPI | 1841437399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 91132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 58286) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF 81923) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-05-17 |