| NPI | 1407203789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC6399) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-04-01 |