| NPI | 1023440013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85441) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85441) | 
| 101Y00000X Counselor | |
| Enumeration Date | 2013-08-01 | 
| Last Update Date | 2016-09-14 |