| NPI | 1932818119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131462) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12466) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |