| NPI | 1326465949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87735) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 87735) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2017-08-02 |