| NPI | 1942449954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT9287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS5439) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |