| NPI | 1093120479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC36245) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC578) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |