| NPI | 1497030951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118460) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF76388) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2020-03-04 |