| NPI | 1912389875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129518) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13173) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-03-07 |