| NPI | 1942724497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116060) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 100699) |
| 106H00000X Marriage & Family Therapist (Licence: CA 100699) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |