| NPI | 1760736920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 98950) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 75201) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2017-04-04 |