| NPI | 1912533993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101907) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4404) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |