| NPI | 1881128668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119604) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98311) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-07-27 |