| NPI | 1679065072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127104) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 6766) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-05-12 |