| NPI | 1649211996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT9347) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 22132) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-11-13 |