| NPI | 1144573585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112430) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 90510) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2021-10-01 |