| NPI | 1881229110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108395) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT108395) | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-09-21 |