| NPI | 1821501131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4591-R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 91020) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 138923) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-09-18 |