| NPI | 1205356029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4839) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-08-04 |