| NPI | 1255919544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122742) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 9122) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-10-16 |