| NPI | 1245696103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139699) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 108185) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF108185) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-05-29 |