| NPI | 1194113035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6591) |
| 101YP2500X Counselor, Professional (Licence: CO 18451) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 2194) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2024-10-15 |