| NPI | 1821288416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75113) |
| 106H00000X Marriage & Family Therapist (Licence: CA 53802) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-12-07 |