| NPI | 1386949030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 84731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF64870) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2015-04-23 |