| NPI | 1205223286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 168) |
| 103TS0200X Psychologist, School (Licence: CA 3352) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |