| NPI | 1053672774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 70852) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2021-08-27 |