| NPI | 1619316080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9552) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1861) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-06-03 |