| NPI | 1417068685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF 58893) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 58893) |
| 104100000X Social Worker (Licence: CA IMF 58893) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-06 |