| NPI | 1467570184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49850) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 163) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-05-20 |