| NPI | 1871663351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77340) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CA IMF77340) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF77340) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-01-21 |