| NPI | 1194188938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138344) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 108420) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-05-08 |