| NPI | 1982089959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43387) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC 1467) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |