| NPI | 1306220157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9665) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-06-16 |