| NPI | 1073068417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93764) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-08-03 |