| NPI | 1710178926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7B38043) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2014-10-10 |