| NPI | 1518636448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107230) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5229) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |