| NPI | 1477735082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NONE) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2018-05-17 |