| NPI | 1164772158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 72474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72474) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2018-02-28 |