| NPI | 1568831196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 101624) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101624) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2019-12-30 |