| NPI | 1447614458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 36861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 999) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |