| NPI | 1114760543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136834) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 13026) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |