| NPI | 1588095426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF73179) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2018-12-03 |