| NPI | 1558689877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 91593) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62468) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-09-29 |