| NPI | 1972128783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148278) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17047) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-08-12 |