| NPI | 1811138449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114501) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-09-02 |