| NPI | 1306468681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA aMFT127233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA aPCC10079) |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2023-08-09 |