| NPI | 1962757211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF 95418) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104833) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2018-11-15 |