| NPI | 1144574765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mft 29453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA lpc 130) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-12-19 |