| NPI | 1386398378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 130800) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-05-21 |