| NPI | 1780156513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110438) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5876) |
| 101YM0800X Counselor, Mental Health (Licence: CA 110438) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 5876) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-03-10 |