| NPI | 1831733443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13467) |
| 101YM0800X Counselor, Mental Health (Licence: WA 61475713) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-03-21 |