| NPI | 1710224803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 49) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70979) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |