| NPI | 1093911224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 40177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC40177) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-09-08 |