| NPI | 1992351803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 140055) |
| 106H00000X Marriage & Family Therapist (Licence: CA 123741) | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-12-08 |