| NPI | 1568130995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136836) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-12-28 |