| NPI | 1013567999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6949) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT116168) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2022-08-30 |