| NPI | 1992121941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT License # 49969) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1750) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2016-01-22 |