| NPI | 1477250330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC11978) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT133844) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-03-16 |