| NPI | 1518554138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8237) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |