| NPI | 1104374107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94859) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3217) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |