| NPI | 1386624294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 19001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 19001) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-12-05 |