| NPI | 1548980568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135268) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12372) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-04-12 |