| NPI | 1245469071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT95081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF63293) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-10-09 |