| NPI | 1881853505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 62038) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2013-08-27 |