| NPI | 1477687465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91197) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 91197) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-05-24 |