| NPI | 1225539372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9924) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114895) |
| 106H00000X Marriage & Family Therapist (Licence: CA 131371) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2022-10-02 |