| NPI | 1811210990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC39113) |
| 101YP2500X Counselor, Professional (Licence: CA Mfc39113) | |
| 103K00000X Behavior Analyst (Licence: CA mfc39113) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |