| NPI | 1194274597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113384) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CA 113384) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2023-07-25 |