| NPI | 1124143201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFI83195) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-07-21 |