| NPI | 1639952559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 14355) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 140904) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-30 |