| NPI | 1063765733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF87102) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2021-12-16 |