| NPI | 1578967253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96406) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 1231) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2018-03-17 |