| NPI | 1588830178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 78999) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 78999) |
| 106H00000X Marriage & Family Therapist (Licence: CA 78999) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-09-10 |