| NPI | 1972680163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 39539) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 39539) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-08-04 |