| NPI | 1104499516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137086) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 13086) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-10-09 |