| NPI | 1629577507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 104156) |
| 106H00000X Marriage & Family Therapist (Licence: CA 104156) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2021-08-13 |