| NPI | 1417321084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105823) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 6600) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-09-16 |