| NPI | 1255745048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 119492) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80223) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-12-11 |