| NPI | 1457845539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC10529) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66199) |
| 251S00000X (Licence: CA LPCC10529) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-11-04 |