| NPI | 1003474859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 123948) |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health (Licence: CA 81378) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-08-12 |