| NPI | 1861520850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90551) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106H00000X Marriage & Family Therapist (Licence: CA 57799) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 57799) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-01-08 |