| NPI | 1093052417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98443) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 72530) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2017-03-28 |