| NPI | 1275051476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFT124030) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA PCCI4277) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMFT101501) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 124030) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-02-22 |