| NPI | 1184124026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101580) |
| 101YP2500X Counselor, Professional (Licence: CA 4285) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-06-06 |