| NPI | 1720577364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107531) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-08-28 |