| NPI | 1477040806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7238) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-05-18 |