| NPI | 1518459007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145563) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 7761) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-03-11 |