| NPI | 1598173163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 85320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 35597) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW85320) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-12-10 |