| NPI | 1669740940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97749) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YM0800X Counselor Mental Health (Licence: CA 74153) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2017-01-11 |