| NPI | 1093270076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139899) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 14009) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-06-26 |