| NPI | 1265820575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFTI80941) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-07-21 |