| NPI | 1477697332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82436) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA INTERN# 59396) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-12-29 |