| NPI | 1952718769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90653) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 2629) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-01-05 |