| NPI | 1972832327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 85695) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 85695) |
| 101YP2500X Counselor Professional (Licence: CA 281) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2021-08-24 |