| NPI | 1245556802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO CO.0001435) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 58406) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-03-13 |