| NPI | 1215186960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49636) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA MFT49636) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2013-03-22 |