| NPI | 1205489242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4045) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-08-30 |