| NPI | 1073207700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142031) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 142031) |
| 101Y00000X Counselor (Licence: CA 142031) | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-10-16 |