| NPI | 1881215291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11739722-6009) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2022-05-12 |