| NPI | 1750721304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2322) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-04-23 |