| NPI | 1427353499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48127) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006023494) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2019-06-14 |