| NPI | 1548339252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84303) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19852) |
| 101YM0800X Counselor, Mental Health (Licence: TX 19852) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-07-21 |