| NPI | 1083017701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 230191986) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149300) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-10-10 |