| NPI | 1821364712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 68631) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2017-03-15 |