| NPI | 1467647172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFTI 54220) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-01-13 |