| NPI | 1104392810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141648) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109735) |
| 106H00000X Marriage & Family Therapist (Licence: CA 109735) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2023-12-22 |