| NPI | 1184299059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138939) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 15845) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-10-23 |