| NPI | 1518005438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 55505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 910-1596-6) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-07-16 |