| NPI | 1386948628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121311) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist (Licence: CA 71467) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2020-10-13 |