| NPI | 1164099644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138002) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13417) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-05-31 |