| NPI | 1144571258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT89586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0006149) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2017-04-03 |