| NPI | 1982974879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50928) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFC 50928) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2013-10-11 |