| NPI | 1730518689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106496) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF 75943) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 75943) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2020-02-10 |