| NPI | 1972174738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127550) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10139) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-08-20 |