| NPI | 1376962746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 302R00000X Health Maintenance Organization (Licence: CA 53886) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-02-11 |