| NPI | 1477745065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51877) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 687) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2014-12-09 |