| NPI | 1912674920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 136332) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-01-05 |