| NPI | 1992188502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130227) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96052) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-08-02 |