| NPI | 1417347683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 9397) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 106H00000X Marriage & Family Therapist (Licence: CA 119044) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2021-12-02 |