| NPI | 1841595832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF64271) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF64271) | |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2022-01-03 |