| NPI | 1407370547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88863) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 88863) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-09-19 |