| NPI | 1295304632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115712) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-23 |