| NPI | 1083138986 |
|---|---|
| Professional Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71576) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-06-25 |