| NPI | 1609243252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106684) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 93983) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-06-05 |