| NPI | 1831241058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41489) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFC 41489) |
| 101YP2500X Counselor Professional (Licence: CA MFC 41489) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-12-14 |