| NPI | 1760748040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC5981) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2019-04-14 |