| NPI | 1912253519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0181841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF76250) |
| 101YM0800X Counselor, Mental Health (Licence: CA PCCI788) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2024-06-18 |