| NPI | 1740579713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 85390) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 65935) |
| 106H00000X Marriage & Family Therapist (Licence: CA 65935) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2015-02-26 |