| NPI | 1104208131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109711) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 68826) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-09-25 |