| NPI | 1215058136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT29699) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFT29699) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-07-19 |