| NPI | 1700301827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101125) |
| 106H00000X Marriage & Family Therapist (Licence: CA 101125) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-05-02 |