| NPI | 1124165311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50120) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-06-18 |