| NPI | 1225212590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT107934) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2023-08-23 |