| NPI | 1891868055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47721) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 47721) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-05-28 |