| NPI | 1275756173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1730) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-05-14 |