| NPI | 1679273627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 136123) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-07-10 |