| NPI | 1033407366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119410) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76339) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-01-19 |