| NPI | 1164716585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50059) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO LPC 2005016766) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2012-10-18 |