| NPI | 1750705992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116683) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF62379) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF97699) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2024-01-29 |