| NPI | 1992026876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120045) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 120045) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-08-05 |