| NPI | 1821459769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC) |
| 101YP2500X Counselor, Professional (Licence: CA APCC) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-09-11 |