| NPI | 1093082711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91280) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 74393) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2016-12-07 |