| NPI | 1255736310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7560) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF 81087) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-12-10 |