| NPI | 1306023031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60096) |
| 106H00000X Marriage & Family Therapist (Licence: CA 60096) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2016-03-09 |