| NPI | 1417340217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85284) |
| 106H00000X Marriage & Family Therapist (Licence: CA 118617) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-08-19 |