| NPI | 1134545478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102336) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 102336) |
| 101YM0800X Counselor Mental Health (Licence: CA 102336) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2017-10-13 |