| NPI | 1316203904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 00232920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF64344) |
| 106H00000X Marriage & Family Therapist (Licence: CA 84057) | |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2023-04-12 |