| NPI | 1154519031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98271) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF 70968) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2024-08-09 |