| NPI | 1598322075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143390) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 15575) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-04-16 |