| NPI | 1174089049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 122323) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-10-02 |