| NPI | 1912352543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4213) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-08-20 |