| NPI | 1760865463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66798) |
| 106H00000X Marriage & Family Therapist (Licence: CA 66798) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-07-01 |