| NPI | 1669250569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136798) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13253) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-25 |