| NPI | 1821009903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 49926) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-04-24 |