| NPI | 1578046967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127272) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 107284) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 107284) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-03-18 |