| NPI | 1952701856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6782) |
| 106H00000X Marriage & Family Therapist (Licence: CA 110441) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2019-08-02 |