| NPI | 1205967189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT41082) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 41082) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC1386) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-06-24 |