| NPI | 1871761718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2852) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0111241) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2017-04-17 |