| NPI | 1972576221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT25887) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFT28557) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2010-10-25 |