| NPI | 1841693124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110848) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87899) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT87899) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2019-08-30 |