| NPI | 1194192575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93455) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2017-03-13 |