| NPI | 1053346882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC18433) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0145931) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-02-03 |