| NPI | 1215585898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124977) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC4873) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT105196) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-12-29 |