| NPI | 1629418678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 127930) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2023-02-01 |