| NPI | 1396298667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72556) |
| 101YM0800X Counselor, Mental Health (Licence: CA 72666) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2019-01-25 |