| NPI | 1063867737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98512) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 80277) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2018-07-17 |