| NPI | 1184747602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF51114) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-11-16 |