| NPI | 1477854982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85677) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC1631) |
| 101YM0800X Counselor, Mental Health (Licence: MA 7996) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2015-12-03 |