| NPI | 1861746885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92608) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 72964) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-01-03 |