| NPI | 1114171261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 7963) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2023-06-18 |