| NPI | 1952786550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107242) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2022-02-13 |