| NPI | 1023461456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94090) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-06-01 |