| NPI | 1457879983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9928) |
| 106H00000X Marriage & Family Therapist (Licence: OR T2333) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-08-01 |