| NPI | 1467869685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 79243) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79243) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-03-09 |