| NPI | 1003473810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116507) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 16507) |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-11-22 |