| NPI | 1619517794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 87740) |
| 106H00000X Marriage & Family Therapist (Licence: CA 127566) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-05-03 |