| NPI | 1215384011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 7572) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2022-07-21 |