| NPI | 1598996084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101019) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 70128) |
| 104100000X Social Worker | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2018-01-25 |