| NPI | 1356862064 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 137860)  | 
| Enumeration Date | 2017-07-03 | 
| Last Update Date | 2024-01-30 |