| NPI | 1003288655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132533) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF70104) |
| 106H00000X Marriage & Family Therapist (Licence: CA 104870) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-05-03 |