| NPI | 1740864107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 106243) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-01-12 |