| NPI | 1659985216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119989) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 8169) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-12-04 |