| NPI | 1770708935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70398) |
| 101Y00000X Counselor (Licence: CA 106233) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2018-05-01 |