| NPI | 1306866991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT80894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000794) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 56087) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-07-21 |