| NPI | 1922456789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF87651) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-10-10 |