| NPI | 1669805420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148756) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120523) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2024-09-09 |