| NPI | 1013360643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52221) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 52221) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-06-15 |