| NPI | 1144001538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14358) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-09-06 |