| NPI | 1437565231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 78472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF#78472) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-04-07 |