| NPI | 1326462771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104356) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-06-05 |