| NPI | 1982178984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 134214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF116805) |
| 106H00000X Marriage & Family Therapist | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC134214) | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-01-02 |