| NPI | 1902027022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT203) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFC27078) |
| 102L00000X Psychoanalyst (Licence: CA MFC27078) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC27078) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-04-03 |