| NPI | 1447408265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 84321) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LMFT 84321) |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFT 84321) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2015-01-28 |