| NPI | 1023592581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106608) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT106608) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-02-17 |