| NPI | 1124269972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT13146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT13146) |
| 101YS0200X Counselor, School (Licence: CA MFT13146) | |
| Enumeration Date | 2009-03-07 |
| Last Update Date | 2009-06-10 |