| NPI | 1740821768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6222) |
| 101YP2500X Counselor, Professional (Licence: CA 6222) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 111881) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-11-09 |