| NPI | 1073892741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 21252) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 021252) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2021-07-15 |