| NPI | 1679618771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112779) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66835) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2019-10-24 |