| NPI | 1275098055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT120341) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-10-28 |