| NPI | 1124203377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97325) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 56298) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-10-15 |