| NPI | 1629687306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC14859) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 15654) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-06-12 |