| NPI | 1083807440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC47328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46571) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-12-30 |