| NPI | 1518366327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92783) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 76772) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2018-01-11 |