| NPI | 1306280359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74550) |
| 101YM0800X Counselor, Mental Health (Licence: CA 111688) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2023-04-27 |