| NPI | 1730254103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49937) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 53886) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-04-04 |