| NPI | 1639445059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88549) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-11-12 |