| NPI | 1023432895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT100501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC7540) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2020-05-21 |