| NPI | 1336613645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 46779) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 80) |
| 101YP2500X Counselor, Professional (Licence: 80) | |
| 106H00000X Marriage & Family Therapist (Licence: 46779) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 46779) | |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |