| NPI | 1245369081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 49918) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-10-08 |