| NPI | 1316586316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 1232863) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 107580) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2024-07-03 |