| NPI | 1023361227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116313) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2019-11-15 |