| NPI | 1629762489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14711) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-05-31 |