| NPI | 1841803392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 127224) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-06-12 |