| NPI | 1164872982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF85623) |
| 101YM0800X Counselor, Mental Health (Licence: CA PCCI1948) | |
| 101YP2500X Counselor, Professional (Licence: CA LPCC8257) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-05-09 |