| NPI | 1790209849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113607) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 170132014) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2021-05-24 |