| NPI | 1194107359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 80929) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-09-23 |