| NPI | 1780296319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 120174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120174) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-02-12 |