| NPI | 1649786856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99979) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 4038) |
| 101YM0800X Counselor Mental Health (Licence: CA 99979) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2022-08-30 |