| NPI | 1568874956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135321) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-04-10 |