| NPI | 1023314515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64690) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF95548) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2018-04-10 |