| NPI | 1992106421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC1725) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC1725) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-06-02 |