| NPI | 1245745397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124100) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104290) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-10-13 |