| NPI | 1467863563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC8078) |
| 106H00000X Marriage & Family Therapist (Licence: CA 90830) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-05-03 |