| NPI | 1013629542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC10751) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-01-04 |