| NPI | 1518212521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67482) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-08-20 |