| NPI | 1245761600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120832) |
| Additional Taxonomies | 101Y00000X Counselor |
| 247200000X | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-08-11 |