| NPI | 1912378381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 23789) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFT 23789) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2017-04-20 |