| NPI | 1851169486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: 142066) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 142066) | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-18 |