| NPI | 1902058654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC14286) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFC14286) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC14286) | |
| 101YP2500X Counselor, Professional (Licence: CA MFC14286) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2017-02-08 |