| NPI | 1417598442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143944) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117172) |
| 101YM0800X Counselor, Mental Health (Licence: CA 117172) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-01-05 |