| NPI | 1154649630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83512) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 62650) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2017-01-10 |