| NPI | 1235963810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17502) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-23 |