| NPI | 1568745065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78512) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 03848453) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2014-02-07 |