| NPI | 1679111249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114031) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2020-01-31 |