| NPI | 1285178780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140303) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14160) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-11-20 |