| NPI | 1851541759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 57244) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFTI 57244) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-08-12 |