| NPI | 1952956161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT104304) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-12-04 |