| NPI | 1114475662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104333) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-01-21 |