| NPI | 1265679237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 1324) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 5872) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2012-07-28 |