| NPI | 1477071900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73869) |
| 101YM0800X Counselor, Mental Health (Licence: CA 111020) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-12-12 |