| NPI | 1205111598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93424) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2021-02-22 |