| NPI | 1265988661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116661) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF94282) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2023-11-15 |