| NPI | 1477036135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141227) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14831) |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-11-03 |