| NPI | 1245311828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 52779) |
| 106H00000X Marriage & Family Therapist (Licence: CA 50541) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-03-30 |