| NPI | 1093208019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129388) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 129388) |
| 106H00000X Marriage & Family Therapist (Licence: CA 103706) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-10-19 |