| NPI | 1942696620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45275) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC1444) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |