| NPI | 1629362769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52148) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 57794) |
| 106H00000X Marriage & Family Therapist (Licence: CA #52148) | |
| 101Y00000X Counselor (Licence: CA 450) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2013-11-06 |