| NPI | 1639556418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA PCCI 1831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist (Licence: CA 1831) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-03-22 |