| NPI | 1982123543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120460) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF99897) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2020-11-18 |