| NPI | 1255730362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102283) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2017-10-16 |