| NPI | 1932823622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 134419) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 134419) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-05-21 |