| NPI | 1922484732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110575) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2021-01-27 |