| NPI | 1063951424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF92592) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2022-07-21 |