| NPI | 1285704106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MFC 20838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20838) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFT20838) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-12-08 |