| NPI | 1366849085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98249) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75140) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2021-03-24 |