| NPI | 1619097789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC41088) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-02-20 |