| NPI | 1679021828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF95257) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-08-31 |