| NPI | 1235276080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC297) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC46475) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-04-02 |