| NPI | 1750447322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88332) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: none) |
| 106H00000X Marriage & Family Therapist (Licence: CA 60583) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-08-14 |