| NPI | 1366724601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 98962) |
| 101YM0800X Counselor, Mental Health (Licence: CA 70893) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-04-09 |