| NPI | 1740650415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122799) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-05-12 |