| NPI | 1326581471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127770) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 105602) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT105602) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2021-10-14 |