| NPI | 1750120044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142731) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15094) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-08-14 |