| NPI | 1386920189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47710) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1065) |
| 101YS0200X Counselor, School (Licence: CA 140082874) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2016-01-09 |