| NPI | 1215103593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103976) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 67740) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-01-09 |