| NPI | 1295016962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 79273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IM 68304) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2015-08-11 |