| NPI | 1083943021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86068) |
| 101YM0800X Counselor, Mental Health (Licence: CA 61750) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2021-11-03 |