| NPI | 1902306103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100891) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |