| NPI | 1861693863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 15487) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47980) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-08 |