| NPI | 1801928148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53987) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 50908) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-10-09 |