| NPI | 1033660162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96919) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-07-21 |