| NPI | 1639781529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120308) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-04-19 |