| NPI | 1982070249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA none yet) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92918) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-08-10 |