| NPI | 1639512387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 210244295) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72675) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-11-07 |