| NPI | 1619198868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LCS 18483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS18483) |
| 1041C0700X Social Worker, Clinical (Licence: NV 01688-C) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-12-16 |