| NPI | 1124418355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111463) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85698) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-07-28 |