| NPI | 1811012537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 52895) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-06-01 |