| NPI | 1922745355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132766) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11649) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2023-11-15 |