| NPI | 1790059228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102667) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCI 229) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT Intern 74665) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2024-01-15 |