| NPI | 1518056043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT6643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT6643) |
| 101YP2500X Counselor, Professional (Licence: CA MFT6643) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-29 |