| NPI | 1992176937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF #88437) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123956) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2021-05-24 |