| NPI | 1063603041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 36629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36629) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-02-24 |