| NPI | 1326339011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52545) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 090127761) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2012-12-06 |