| NPI | 1215536404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 121163) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-05-14 |