| NPI | 1093846313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47768) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46443) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 47768) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-06-21 |