| NPI | 1447854161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121223) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 140519) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-09-13 |