| NPI | 1063656874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46666) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFT46666) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2018-07-05 |