| NPI | 1871627273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 63115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 171m00000x) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-06-19 |