| NPI | 1407494065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52419) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 420) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |