| NPI | 1235318668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 796) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2016-04-08 |