| NPI | 1083724793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49307) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NM 0139401) | |
| 101YP2500X Counselor, Professional (Licence: NM 0139401) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-08-19 |