| NPI | 1619587896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8163) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120173) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-05-31 |