| NPI | 1326430950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110392) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 70610) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2022-02-15 |