| NPI | 1619680352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12013) |
| 101YP2500X Counselor, Professional (Licence: CA 12013) | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-01-24 |