| NPI | 1902216575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2873) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-10-16 |