| NPI | 1902976590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1153) |
| 106H00000X Marriage & Family Therapist (Licence: CA 41078) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-12-18 |