| NPI | 1639352503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 919503) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54192) |
| 101YM0800X Counselor, Mental Health (Licence: CA 54192) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2016-03-21 |