| NPI | 1619279114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 61464) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2017-07-20 |