| NPI | 1548925415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123909) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-02-23 |