| NPI | 1952748915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107333) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66930) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFTi 66930) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-01-12 |