| NPI | 1740380633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48966) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 4067) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-10-06 |