| NPI | 1053485862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT41402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT41402) |
| 106H00000X Marriage & Family Therapist (Licence: LMFT41402) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-06-19 |