| NPI | 1366881856 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42692)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 323)  | 
| 106H00000X Marriage & Family Therapist (Licence: CA 42692)  | |
| Enumeration Date | 2013-06-18 | 
| Last Update Date | 2024-01-30 |