| NPI | 1477705457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 64896) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 64896) |
| 101Y00000X Counselor | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-01-25 |