| NPI | 1003190216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-4857) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2016-09-06 |