| NPI | 1780148122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108701) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 108701) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2021-08-16 |