| NPI | 1356726756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123602) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CA APCC5437) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFT123602) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-01-30 |