| NPI | 1003273186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12307) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2023-05-01 |