| NPI | 1417196718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 32476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0663) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC32476) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2016-08-05 |