| NPI | 1144321092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC29900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC29900) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-11-05 |