| NPI | 1104121854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63966) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF63966) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2016-06-14 |