| NPI | 1083733380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 67972) |
| 101YM0800X Counselor, Mental Health (Licence: CA 49182) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-12-07 |