| NPI | 1487117933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 147289) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82985) |
| 106H00000X Marriage & Family Therapist (Licence: CA 122472) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-06-12 |