| NPI | 1760711949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFCC47874) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFCC47874) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFCC47874) | |
| 101YP2500X Counselor, Professional (Licence: CA MFCC47874) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2011-09-14 |