| NPI | 1275035172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117412) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-12-13 |