| NPI | 1942870407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137888) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 13220) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-03-06 |