| NPI | 1689728461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44136) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 1496) |
| 101YS0200X Counselor School (Licence: CA 050138706) | |
| 103TS0200X Psychologist School (Licence: CA 2599) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-07-19 |