| NPI | 1235521253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 6546) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 6546) |
| 106H00000X Marriage & Family Therapist (Licence: CA 98777) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2024-08-21 |