| NPI | 1093436396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15796) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 144905) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-03-11 |