| NPI | 1205320249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106944) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 5145) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |