| NPI | 1083069140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109362) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-01-16 |