| NPI | 1891003703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFTI64019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10187) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |