| NPI | 1922760438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8618) |
| 101YM0800X Counselor, Mental Health (Licence: CA 122508) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-12-02 |