| NPI | 1699047506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98301) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 98301) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2022-01-12 |