| NPI | 1801003603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51914) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 54657) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-11-01 |