| NPI | 1831367879 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc 45094) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 07-151) | 
| Enumeration Date | 2008-02-12 | 
| Last Update Date | 2010-01-12 |