| NPI | 1184014607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106065) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF84581) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-05-17 |