| NPI | 1336613066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111882) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 5427) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2024-08-21 |