| NPI | 1154636884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63694) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2014-09-03 |