| NPI | 1457977803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC7923) |
| 106H00000X Marriage & Family Therapist (Licence: CO 0002171) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-11-22 |