| NPI | 1326076563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 31441) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LMFT 31441) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-05-27 |