| NPI | 1205359023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 150415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 150415) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-11-15 |