| NPI | 1669187928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136462) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12997) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |