| NPI | 1396208930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4861) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-04-09 |