| NPI | 1831824531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11668) |
| 101YP2500X Counselor, Professional (Licence: CA 11668) | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |