| NPI | 1790193555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF90087) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PCCI2555) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2017-04-26 |