| NPI | 1881119030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133207) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13761) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15987) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-12-05 |