| NPI | 1891958492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 56357) |
| 106H00000X Marriage & Family Therapist (Licence: CA 51208) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-05-31 |