| NPI | 1821611492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127935) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 10312) |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist (Licence: CA 127935) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2022-02-15 |