| NPI | 1689195588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144025) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 14386) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-05-08 |