| NPI | 1194275966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132768) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF94317) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-11-21 |