| NPI | 1912467671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 110785) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110785) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-01-03 |