| NPI | 1477919736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 6793) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 6169) |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2016-01-01 |