| NPI | 1174723597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 1250) |
| 106H00000X Marriage & Family Therapist (Licence: ID 9031) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-07-26 |