| NPI | 1952819120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103932) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-02-24 |