| NPI | 1467050146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10860) |
| 101YP2500X Counselor, Professional (Licence: CA 10860) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-04-17 |