| NPI | 1629648126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10516) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-12-16 |