| NPI | 1013529049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC6502) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |