| NPI | 1447708110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92995) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 2956) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-04-26 |