| NPI | 1255713186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111476) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82355) |
| 101Y00000X Counselor (Licence: CA 82355) | |
| 101YP2500X Counselor, Professional (Licence: CA 7682) | |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2024-01-22 |