| NPI | 1255621272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80444) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2015-10-09 |