| NPI | 1023689551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126052) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC9702) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |