| NPI | 1336694769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 35900) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 413109) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-09-23 |