| NPI | 1285001735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT MFT20527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT MFT20527) |
| 174H00000X Health Educator (Licence: CA MFT 20527) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2017-10-05 |