| NPI | 1588054126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFTI 84198) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84198) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2017-02-27 |