| NPI | 1528448750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115863) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 90354) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-08-11 |