| NPI | 1093934077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88573) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-05-11 |