| NPI | 1942372974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 812) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-05-04 |