| NPI | 1457773624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 11031) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 11031) |
| 106H00000X Marriage & Family Therapist (Licence: CA 261) | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2022-11-03 |