| NPI | 1821287889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44152) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA MFC 44152) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |