| NPI | 1730692690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103420) |
| 106H00000X Marriage & Family Therapist (Licence: CA 103420) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-04-04 |