| NPI | 1174122378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15419) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-05-22 |