| NPI | 1770611279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78623) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52992) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-01-22 |