| NPI | 1982201596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119952) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 8098) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |