| NPI | 1912665563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129941) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-20 |