| NPI | 1417977588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC33338) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFC33338) |
| 101YP2500X Counselor Professional (Licence: MFT33338) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-09-11 |