| NPI | 1780674713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38575) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2012-03-12 |