| NPI | 1497298798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist (Licence: CA 95632) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-01-25 |