| NPI | 1003367343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5694) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 88744) |
| 101Y00000X Counselor (Licence: CA 2377) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 16443) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFTI 88744) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 105578) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-08-01 |