| NPI | 1699896365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: CA PPS CREDENTIAL) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37531) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |