| NPI | 1376763938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 48902) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-05-28 |