| NPI | 1881279925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124747) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 124747) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-06-02 |