| NPI | 1225463029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129514) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 5000358) |
| 101YP2500X Counselor Professional (Licence: CA 14937) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2023-11-06 |