| NPI | 1336668136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124202) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 4892) |
| 106H00000X Marriage & Family Therapist (Licence: CA 105694) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2021-03-23 |