| NPI | 1871035337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119622) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 94942) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2020-07-10 |