| NPI | 1326558453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127905) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT109963) |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-09-03 |