| NPI | 1952691347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63519) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-06-26 |