| NPI | 1710466602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122096) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104939) |
| 101YM0800X Counselor, Mental Health (Licence: CA 104939) | |
| 106H00000X Marriage & Family Therapist (Licence: 122096) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2021-04-08 |