| NPI | 1861738452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104545) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 69328) |
| 106H00000X Marriage & Family Therapist (Licence: CA 69328) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2018-09-07 |