| NPI | 1821247966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF87209) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 61560) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF87209) | |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2016-09-26 |