| NPI | 1700445962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126449) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 110447) |
| 106H00000X Marriage & Family Therapist (Licence: CA 110447) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-07-11 |