| NPI | 1154752491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCI323) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF76917) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2020-01-23 |