| NPI | 1265712004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ITIN) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2023-09-06 |