| NPI | 1558101444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16556) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |