| NPI | 1154758753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 84728) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF 65210) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF 65210) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2015-03-05 |