| NPI | 1235515974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9348) |
| 106H00000X Marriage & Family Therapist (Licence: CA 124674) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-01-31 |