| NPI | 1114371903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 101Y0000X) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-07-29 |