| NPI | 1770224776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128325) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 128325) |
| 101YP2500X Counselor Professional (Licence: CA 10630) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-02-14 |