| NPI | 1851438766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105112) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 2838) |
| 101YS0200X Counselor, School (Licence: CA 2838) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-07-20 |