| NPI | 1982220927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 117888) |
| 101YM0800X Counselor, Mental Health (Licence: CA 117888) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |