| NPI | 1013214733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51899) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPC413) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-08-20 |