| NPI | 1124470059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46595) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46595) |
| 101YP2500X Counselor, Professional (Licence: CA 46595) | |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2018-03-29 |