| NPI | 1376193409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130972) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT112528) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-08-21 |