| NPI | 1194101162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14702) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118126) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2023-10-03 |