| NPI | 1649640491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84950) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 1951) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |