| NPI | 1578079794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 6403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135407) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-12-15 |