| NPI | 1891287751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 101YP2500X Counselor, Professional (Licence: CA 5387) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-09-03 |