| NPI | 1013785518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC8862) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-09-25 |