| NPI | 1558798140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA IMF 62058) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 62058) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2024-06-15 |